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Arizona AIDS Drug Assistance Program (ADAP Assist)

The Arizona Department of Health Services (ADHS) is responsible for the administration of the AIDS Drug Assistance Program (ADAP) and ADAP Assist for the state of Arizona. ADAP/ADAP Assist provides access to medications used to treat HIV and prevent the onset of related opportunistic infections to low-income individuals with HIV disease who have limited or no insurance coverage.

Frequently Asked Questions

What Is the AZ ADAP Assist?

ADAP Assist is co-pay assistance for ADAP clients who are enrolled with primary insurance coverage through the Federally Facilitated Marketplace (FFM), Medicare or private/employer-sponsored insurance. To qualify for ADAP Assist you must be HIV positive, a resident of Arizona and have an annual modified adjusted gross income (MAGI) at or below 400% of federal poverty level.

What Are the Enrollment Requirements for ADAP Assist?

To qualify for the Arizona ADAP Assist program:

The applicant must be medically confirmed as HIV positive:
  • ADAP applicants Medical Provider will be required to provide documentation of medical diagnosis with recent lab values and medication regimen
Have a modified adjusted gross income (MAGI) of no more than 400% of federal poverty level (FPL);

A resident of Arizona;

Have affordable and adequate insurance coverage (including prescription coverage) through a primary insurer such as Medicare, Marketplace, or Employer-sponsored insurance:
  • Once ADAP receives an application for an applicant who appears eligible for insurance or is enrolled with coverage, ADAP will request premium, formulary and co-pay information. This information is used to determine if the insurance coverage is adequate and affordable. Adequate means the insurance will cover prescribed antiretroviral (ARV) drug therapy. Affordable is determined by adding the yearly premium primary insurer and calculating if this amount is less than 9.5% of the applicant’s annual MAGI. If the total premium amount is less than 9.5% of the applicant’s annual MAGI, the insurance is affordable and the client must enroll as soon as possible or maintain their coverage. If the total premium amount is greater than 9.5% of the applicant’s annual MAGI, the insurance is deemed unaffordable and the client will be provided other options for insurance coverage including ADAP 340B and/or the marketplace.
The applicant cannot be eligible for AHCCCS (Arizona’s version of Medicaid):
  • To ensure that Ryan White Part B is the payer of last resort for ADAP, all applicants applying for ADAP are screened for AHCCCS eligibility, which means all applicants must have AHCCCS denial letters.

How Do I Enroll?

You can get an application and assistance with filling out your application through your doctor, case manager, or health department. The ADAP application process has become complicated and we highly recommend that applicants work with a case manager. We believe that working with a case manager to complete your application will help make sure a complete and accurate application is submitted and processed in a timely fashion. You can also download an application, complete it, and submit it yourself by mailing or faxing the application to ADAP, or bringing the application directly to the ADAP office:

ADAP Application Form   [Español]
ADAP Information Sheet   [Español]

The ADAP office is located at:
Arizona Department of Health Services
150 N. 18th Ave Suite 130
Phoenix, AZ 85007
602-364-3610 (Phone)
602-364-3263 (Fax)

What Drugs Are Covered?

ADAP Assist provides copayment assistance for all current ADAP Assist clients’ on medications covered by their private insurance, employer based insurance, Medicare or Federally Facilitated Marketplace (FFM). If the drug is not covered by the member's primary insurance, Arizona ADAP Assist will not cover the prescription.

ADAP Assist cannot pay copays for the following medication categories:

  1. Certain Over The Counter (OTCs) Medications
  2. Erectile Dysfunction (ED)
  3. Fertility Agents
  4. Non-oral Contraceptives
  5. Skin Coloring Agents
  6. Retinoids (Retin-A, Differin, Accutane, Others)
  7. Hydroquinone (Eldoquin, Others)
  8. Prescriptions used for cosmetic purposes
  9. Ancillary supplies

Please refer to Ramsell for assistance with the OTCs that are covered. Ramsell Pharmacy Service Representatives are available by calling 1-888-311-7632.

Are there certain medications that require prior authorization?

Yes, Egrifta and/or Serostim. Click on the link below to download a Prior Authorization Form or User Guidelines.

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